AAPC CPC Final Exam 2022 Questions
And Answers
Ad12-month-
olddreceivesdthedfollowingdvaccinations:dHepatitisdB,dHib,dVaricella,danddMumps-measles-
rubella.dWhatdICD-10-CMdcode(s)dis/aredreporteddfordthedvaccinations?
a.dB19.10,dB01.9,dB26.9,dB05.9,dB06.9,dZ23
b.dZ23,dB19.10,dB01.9,dB26.9,dB05.9,dB06.9
c.dZ23
d.dB19.10,dB01.9,dB26.9,dB05.9,dB06.9d-dCORRECTddANSWER-c.dZ23
Ad15dyeardolddunderwentdplacementdofdadcochleardimplantd1dyeardago.dItdnowdneedsdtodbedr
eprogrammed.dWhatdCPT®dcodedisdreporteddfordthedreprogramming?
a.d92603
b.d92601
c.d92604
d.d92602d-dCORRECTddANSWER-c.d92604
ResponsedFeedback:
Rationale:dCochleardimplantsddifferdfromdhearingdaids;dtheydbypassdtheddamageddpartdofdth
edear.dThedusedofdadcochleardimplantdinvolvesdrelearningdhowdtodheardanddreactdtodsounds.d
IndthedCPT®dIndexdlookdfordCochleardDevice/Programmingdwhichddirectsdyoudtodcodesd92
602,d92604.dThedcodedselectiondisdbaseddondthedagedofdthedpatientdanddwhetherditdisdthedinit
ialdprogrammingdordsubsequentdreprogramming.dCoded92604ddescribesdsubsequentdrepr
ogrammingdfordadpatientdaged7dordolder.
Ad16-year-
olddmaledisdbroughtdtodthedEDdbydhisdmother.dHedwasdridingdhisdbicycledindthedparkdwhendhe
dfelldoffdthedbike.dThedpatient'sdrightdarmdisdpainfuldtodtouch,ddiscolored,danddswollen.dThedX-
raydshowsdadcloseddfracturedofdthedulna.dWhatdICD-10-CMdcodesdaredreported?
,a.dS52.201A,dV19.9XXA,dY92.830
b.dS52.201A,dV18.4XXA,dY92.831
c.dS52.201A,dV18.0XXA,dY92.830
d.dS52.209A,dV18.4XXA,dY92.830d-dCORRECTddANSWER-
c.dS52.201A,dV18.0XXA,dY92.830
Ad16-year-
olddmaledisdbroughtdtodthedEDdbydhisdmother.dHedwasdridingdhisdbicycledindthedparkdwhendhe
dfelldoffdthedbike.dThedpatient'sdrightdarmdisdpainfuldtodtouch,ddiscolored,danddswollen.dThedX-
raydshowsdadcloseddfracturedofdthedulna.dWhatdICD-10-CMdcodesdaredreported?
a.dS52.201A,dV18.0XXA,dY92.830
b.dS52.201A,dV18.4XXA,dY92.831
c.dS52.209A,dV18.4XXA,dY92.830
d.dS52.201A,dV19.9XXA,dY92.830d-dCORRECTddANSWER-
a.dS52.201A,dV18.0XXA,dY92.830
Ad25-year-
olddmaledpresentsdwithdaddeviateddnasaldseptum.dThedpatientdundergoesdadnasaldseptumdr
epairdanddsubmucousdresection.dCartilagedfromdthedbonydseptumdwasddetacheddanddthedn
asoseptumdwasdrealigneddanddremoveddindadpiecemealdfashion.dThereafter,d4-
0dchronicdwasduseddtodapproximatedmucousdmembranes.dNext,dsubmucousdresectiondofdt
hedturbinatesdwasdhandleddindthedusualdfashiondbydremovingdthedanteriordthirddofdthedbonydt
urbinatedanddlateraldmucosadfolloweddbydbipolardcauterization.dWhatdCPT®dcodesdaredrep
orted?
a.d30450,d30999-51
b.d30520,d30140-51
c.d30420,d30140-51
d.d30620,d30999-51d-dCORRECTddANSWER-b.d30520,d30140-51
Ad26-year-olddfemaledwithdadone-
yeardhistorydofdadleftdtympanicdmembranedperforation.dShedhasdextensivedtympanosclerosi
sdwithdadnonhealingdperforation.dHerdoptions,dincludingdobservationdwithdwaterdprecautions
dordsurgery,dwereddiscussed.dThedpatientdwisheddtodproceeddwithdsurgery.dWithdusedofdthed
operatingdmicroscope,dthedsurgeondperformsdadleftdlateraldgraftdtympanoplasty.dWhatdCPT
®dcodedisdreported?d-dCORRECTddANSWER-69631-LT
Rationale:dDuringdthedprocedure,dadtympanoplastydisdperformed.dTheredisdnodmentiondofdad
mastoidectomydordossiculardchaindreconstructiondbeingdperformed.dFromdthedCPT®dIndexd
lookdfordTympanoplasty/withoutdMastoidectomydthendverifydthedcodedindthednumericdsectio
n.dModifierdLTdisduseddtodindicatedthedproceduredwasdperformeddondthedleftdear.
Ad28-year-
olddfemaledpatientdisdreturningdtodherdprovider'sdofficedwithdcomplaintsdofdRLQdpaindanddhe
artburndwithdadtemperaturedofd100.2.dThedproviderdperformsdadmedicallydappropriatedhistor
ydanddexam.dAbdominaldultrasounddisdordereddanddthedpatientdhasdmilddappendicitis.dThed
,providerdprescribesdantibioticsdtodtreatdthedappendicitisdindhopesdofdavoidingdandappendect
omy.dWhatdaredthedcorrectdCPT®danddICD-10-CMdcodesdfordthisdencounter?
a.d99213,dK37,dR12
b.d99202,dR10.31,dK37
c.d99203,dK37
d.d99203,dR50.9,dR12,dR10.31,dK37d-dCORRECTddANSWER-a.d99213,dK37,dR12
Ad3-year-
olddisdbroughtdintodthedEDdcrying.dHedcannotdbenddhisdleftdarmdafterdhisdolderdbrotherdtwiste
ddit.dX-
raydisdperformeddanddthedEDdphysicianddiagnosesdthedpatientdhasdaddislocateddnursemaidd
elbow.dThedEDdphysiciandreducesdthedelbowdsuccessfully.dThedpatientdisdabledtodmovedhisd
armdagain.dThedpatientdisdreferreddtodandorthopedistdfordfollow-
updcare.dWhatdCPT®danddICD-10-CMdcodesdaredreported?
d
a.d24640-54-LT,dS53.091A,dW50.2XXA
b.d24600-54-LT,dS53.002A,dW49.9XXA
c.d24640-54-LT,dS53.032A,dW50.2XXA
d.24565-54-LT,dS53.194S,dY33.XXXAd-dCORRECTddANSWER-c.d24640-54-
LT,dS53.032A,dW50.2XXA
Ad30-year-
olddfemaledpatientdwasdseendindthedEDdwithdcomplaintsdofddiarrheadfordthedpastdfourddays.d
Shedwasdalsodcomplainingdofdlowerdabdominaldpain.dAfterdexamination,dthedpatientdwasddi
agnoseddwithdviraldgastroenteritis.dShedwasdinstructeddtoddrinkdplentydofdfluidsdanddtodbegin
deatingdsolidsdonlydafterdtheddiarrheadhasdsubsided.dWhatddiagnosisdcode(s)dwoulddbedrepo
rteddfordthisdencounter?
a.dR10.31,dR19.7
b.dK52.9
c.dA08.4,dR10.84,dR19.7
d.dA08.4d-dCORRECTddANSWER-d.dA08.4
Ad32-year-
olddmaledwasdseendindthedambulatorydsurgerydcenterdASCdfordremovaldofdtwodlipomas.dOne
dwasdlocateddondhisdbackdanddthedotherdwasdlocateddondthedrightdforearm.dBothdinvolveddsu
bcutaneousdtissue.dWhatdICD-10-CMdcode(s)dis/aredreported?
a.dD17.30
b.dD17.39
c.dD17.1,dD17.23
d.dD17.21,dD17.1d-dCORRECTddANSWER-d.dD17.21,dD17.1
Ad32-year-
olddpatientdseesdDr.dSmithdfordadconsultdatdthedrequestdofdhisdPCP,dDr.dLong,dfordandongoin
gdproblemdwithdallergies.dThedpatientdhasdfaileddClaritindanddAlavertdanddfeelsdhisdsymptom
sdcontinuedtodworsen.dDr.dSmithdperformsdandexpandeddproblemdfocuseddhistorydanddexa
, mdandddiscussesdoptionsdwithdthedpatientdondallergydmanagement.dThedMDMdisdstraightfor
ward.dThedpatientdagreesdhedwoulddlikedtodbedtesteddtodpossiblydgaindbetterdcontroldofdhisdal
lergies.dDr.dSmithdsendsdadreportdtodDr.dLongdthankingdhimdfordthedreferraldanddincludesdthe
ddatedthedpatientdisdscheduleddfordallergydtesting.dDr.dSmithdalsodincludesdhisdfindingsdfromd
thedencounter.dWhatdE/Mdcodedisdreported?
a.d99203
b.d99242
c.d99243
d.d99214d-dCORRECTddANSWER-b.d99242
Ad32-year-
olddpatientdwithdcervicaldcancerdisdindandoutpatientdfacilitydtodhavedHDRdbrachytherapy.dTh
edcervixdisddilateddanddunderdultrasounddguidancedsixdapplicatorsdaredinserteddwithdiridiumd
viadthedvaginadtodreleaseditsdradiationddose.dThedplacementdisdindthedcervicaldcavityd(intraca
vitary).dWhatdCPT®dcodedisdreporteddfordthedphysiciandservice?d-dCORRECTddANSWER-
77762-26
ResponsedFeedback:
Rationale:dPatientdisdreceivingdadtypedofdinternaldradiationdtherapyddeliveringdadhighddosedo
fdradiationd(HDR)dfromdimplantsd(applicatorsdwithdthediridium)dplaceddviadthedvaginaldcavityd
(intracavitary).dThisdisdfounddindthedCPT®dIndexdbydlookingdfordBrachytherapy/Intracavitary
dApplicationddirectingdyoudtod0395T,d77761-
77763.dThedCPT®dsubsectiondguidelinesdunderdthedheadingdClinicaldBrachytherapy,ddefini
tionsdaredgivendtoddifferentiatedsimple,dintermediatedanddcomplexdbrachytherapy.dCoded77
762disdreporteddfordthedintracavitarydapplicationdofdfivedtod10dsourcesd(intermediate);dsixdap
plicatorsdwereduseddfordthisdproceduredmakingd77762dthedcorrectdcode.
Ad33-year-
olddpatientdvisitsdhisdprimarydcaredproviderdtoddiscussdadlapdbanddproceduredfordhisdmorbidd
obesity.dHisdcaloricdintakedisdindexcessdofd4,000dcaloriesdperddaydanddhisdBMIdisdcurrentlyd4
5.dWhatdICD-10-CMdcode(s)dis/aredreported?
a.dE66.01,dZ68.42
b.dE66.3,dZ68.45
c.dE66.01
d.dE66.01,dZ68.45d-dCORRECTddANSWER-a.dE66.01,dZ68.42
Ad4-year-
olddpatient,dwhodaccidentallydingestsdvaliumdfounddindhisdmother'sdpurse,disdfounddunconsc
iousdanddrusheddtodthedED.dThedchilddisdtreateddbydthedEDdphysician,dwhodinserteddadtubedo
rallydintodthedstomachdanddperformeddadgastricdlavage,dremovingdthedstomachdcontents.dW
hatdCPT®danddICD-10-CMdcodesdaredreported?
a.d43754,dR40.20,dT42.71XA
b.d43753,dT42.4X1A,dR40.20
c.d43755,dT43.501A
And Answers
Ad12-month-
olddreceivesdthedfollowingdvaccinations:dHepatitisdB,dHib,dVaricella,danddMumps-measles-
rubella.dWhatdICD-10-CMdcode(s)dis/aredreporteddfordthedvaccinations?
a.dB19.10,dB01.9,dB26.9,dB05.9,dB06.9,dZ23
b.dZ23,dB19.10,dB01.9,dB26.9,dB05.9,dB06.9
c.dZ23
d.dB19.10,dB01.9,dB26.9,dB05.9,dB06.9d-dCORRECTddANSWER-c.dZ23
Ad15dyeardolddunderwentdplacementdofdadcochleardimplantd1dyeardago.dItdnowdneedsdtodbedr
eprogrammed.dWhatdCPT®dcodedisdreporteddfordthedreprogramming?
a.d92603
b.d92601
c.d92604
d.d92602d-dCORRECTddANSWER-c.d92604
ResponsedFeedback:
Rationale:dCochleardimplantsddifferdfromdhearingdaids;dtheydbypassdtheddamageddpartdofdth
edear.dThedusedofdadcochleardimplantdinvolvesdrelearningdhowdtodheardanddreactdtodsounds.d
IndthedCPT®dIndexdlookdfordCochleardDevice/Programmingdwhichddirectsdyoudtodcodesd92
602,d92604.dThedcodedselectiondisdbaseddondthedagedofdthedpatientdanddwhetherditdisdthedinit
ialdprogrammingdordsubsequentdreprogramming.dCoded92604ddescribesdsubsequentdrepr
ogrammingdfordadpatientdaged7dordolder.
Ad16-year-
olddmaledisdbroughtdtodthedEDdbydhisdmother.dHedwasdridingdhisdbicycledindthedparkdwhendhe
dfelldoffdthedbike.dThedpatient'sdrightdarmdisdpainfuldtodtouch,ddiscolored,danddswollen.dThedX-
raydshowsdadcloseddfracturedofdthedulna.dWhatdICD-10-CMdcodesdaredreported?
,a.dS52.201A,dV19.9XXA,dY92.830
b.dS52.201A,dV18.4XXA,dY92.831
c.dS52.201A,dV18.0XXA,dY92.830
d.dS52.209A,dV18.4XXA,dY92.830d-dCORRECTddANSWER-
c.dS52.201A,dV18.0XXA,dY92.830
Ad16-year-
olddmaledisdbroughtdtodthedEDdbydhisdmother.dHedwasdridingdhisdbicycledindthedparkdwhendhe
dfelldoffdthedbike.dThedpatient'sdrightdarmdisdpainfuldtodtouch,ddiscolored,danddswollen.dThedX-
raydshowsdadcloseddfracturedofdthedulna.dWhatdICD-10-CMdcodesdaredreported?
a.dS52.201A,dV18.0XXA,dY92.830
b.dS52.201A,dV18.4XXA,dY92.831
c.dS52.209A,dV18.4XXA,dY92.830
d.dS52.201A,dV19.9XXA,dY92.830d-dCORRECTddANSWER-
a.dS52.201A,dV18.0XXA,dY92.830
Ad25-year-
olddmaledpresentsdwithdaddeviateddnasaldseptum.dThedpatientdundergoesdadnasaldseptumdr
epairdanddsubmucousdresection.dCartilagedfromdthedbonydseptumdwasddetacheddanddthedn
asoseptumdwasdrealigneddanddremoveddindadpiecemealdfashion.dThereafter,d4-
0dchronicdwasduseddtodapproximatedmucousdmembranes.dNext,dsubmucousdresectiondofdt
hedturbinatesdwasdhandleddindthedusualdfashiondbydremovingdthedanteriordthirddofdthedbonydt
urbinatedanddlateraldmucosadfolloweddbydbipolardcauterization.dWhatdCPT®dcodesdaredrep
orted?
a.d30450,d30999-51
b.d30520,d30140-51
c.d30420,d30140-51
d.d30620,d30999-51d-dCORRECTddANSWER-b.d30520,d30140-51
Ad26-year-olddfemaledwithdadone-
yeardhistorydofdadleftdtympanicdmembranedperforation.dShedhasdextensivedtympanosclerosi
sdwithdadnonhealingdperforation.dHerdoptions,dincludingdobservationdwithdwaterdprecautions
dordsurgery,dwereddiscussed.dThedpatientdwisheddtodproceeddwithdsurgery.dWithdusedofdthed
operatingdmicroscope,dthedsurgeondperformsdadleftdlateraldgraftdtympanoplasty.dWhatdCPT
®dcodedisdreported?d-dCORRECTddANSWER-69631-LT
Rationale:dDuringdthedprocedure,dadtympanoplastydisdperformed.dTheredisdnodmentiondofdad
mastoidectomydordossiculardchaindreconstructiondbeingdperformed.dFromdthedCPT®dIndexd
lookdfordTympanoplasty/withoutdMastoidectomydthendverifydthedcodedindthednumericdsectio
n.dModifierdLTdisduseddtodindicatedthedproceduredwasdperformeddondthedleftdear.
Ad28-year-
olddfemaledpatientdisdreturningdtodherdprovider'sdofficedwithdcomplaintsdofdRLQdpaindanddhe
artburndwithdadtemperaturedofd100.2.dThedproviderdperformsdadmedicallydappropriatedhistor
ydanddexam.dAbdominaldultrasounddisdordereddanddthedpatientdhasdmilddappendicitis.dThed
,providerdprescribesdantibioticsdtodtreatdthedappendicitisdindhopesdofdavoidingdandappendect
omy.dWhatdaredthedcorrectdCPT®danddICD-10-CMdcodesdfordthisdencounter?
a.d99213,dK37,dR12
b.d99202,dR10.31,dK37
c.d99203,dK37
d.d99203,dR50.9,dR12,dR10.31,dK37d-dCORRECTddANSWER-a.d99213,dK37,dR12
Ad3-year-
olddisdbroughtdintodthedEDdcrying.dHedcannotdbenddhisdleftdarmdafterdhisdolderdbrotherdtwiste
ddit.dX-
raydisdperformeddanddthedEDdphysicianddiagnosesdthedpatientdhasdaddislocateddnursemaidd
elbow.dThedEDdphysiciandreducesdthedelbowdsuccessfully.dThedpatientdisdabledtodmovedhisd
armdagain.dThedpatientdisdreferreddtodandorthopedistdfordfollow-
updcare.dWhatdCPT®danddICD-10-CMdcodesdaredreported?
d
a.d24640-54-LT,dS53.091A,dW50.2XXA
b.d24600-54-LT,dS53.002A,dW49.9XXA
c.d24640-54-LT,dS53.032A,dW50.2XXA
d.24565-54-LT,dS53.194S,dY33.XXXAd-dCORRECTddANSWER-c.d24640-54-
LT,dS53.032A,dW50.2XXA
Ad30-year-
olddfemaledpatientdwasdseendindthedEDdwithdcomplaintsdofddiarrheadfordthedpastdfourddays.d
Shedwasdalsodcomplainingdofdlowerdabdominaldpain.dAfterdexamination,dthedpatientdwasddi
agnoseddwithdviraldgastroenteritis.dShedwasdinstructeddtoddrinkdplentydofdfluidsdanddtodbegin
deatingdsolidsdonlydafterdtheddiarrheadhasdsubsided.dWhatddiagnosisdcode(s)dwoulddbedrepo
rteddfordthisdencounter?
a.dR10.31,dR19.7
b.dK52.9
c.dA08.4,dR10.84,dR19.7
d.dA08.4d-dCORRECTddANSWER-d.dA08.4
Ad32-year-
olddmaledwasdseendindthedambulatorydsurgerydcenterdASCdfordremovaldofdtwodlipomas.dOne
dwasdlocateddondhisdbackdanddthedotherdwasdlocateddondthedrightdforearm.dBothdinvolveddsu
bcutaneousdtissue.dWhatdICD-10-CMdcode(s)dis/aredreported?
a.dD17.30
b.dD17.39
c.dD17.1,dD17.23
d.dD17.21,dD17.1d-dCORRECTddANSWER-d.dD17.21,dD17.1
Ad32-year-
olddpatientdseesdDr.dSmithdfordadconsultdatdthedrequestdofdhisdPCP,dDr.dLong,dfordandongoin
gdproblemdwithdallergies.dThedpatientdhasdfaileddClaritindanddAlavertdanddfeelsdhisdsymptom
sdcontinuedtodworsen.dDr.dSmithdperformsdandexpandeddproblemdfocuseddhistorydanddexa
, mdandddiscussesdoptionsdwithdthedpatientdondallergydmanagement.dThedMDMdisdstraightfor
ward.dThedpatientdagreesdhedwoulddlikedtodbedtesteddtodpossiblydgaindbetterdcontroldofdhisdal
lergies.dDr.dSmithdsendsdadreportdtodDr.dLongdthankingdhimdfordthedreferraldanddincludesdthe
ddatedthedpatientdisdscheduleddfordallergydtesting.dDr.dSmithdalsodincludesdhisdfindingsdfromd
thedencounter.dWhatdE/Mdcodedisdreported?
a.d99203
b.d99242
c.d99243
d.d99214d-dCORRECTddANSWER-b.d99242
Ad32-year-
olddpatientdwithdcervicaldcancerdisdindandoutpatientdfacilitydtodhavedHDRdbrachytherapy.dTh
edcervixdisddilateddanddunderdultrasounddguidancedsixdapplicatorsdaredinserteddwithdiridiumd
viadthedvaginadtodreleaseditsdradiationddose.dThedplacementdisdindthedcervicaldcavityd(intraca
vitary).dWhatdCPT®dcodedisdreporteddfordthedphysiciandservice?d-dCORRECTddANSWER-
77762-26
ResponsedFeedback:
Rationale:dPatientdisdreceivingdadtypedofdinternaldradiationdtherapyddeliveringdadhighddosedo
fdradiationd(HDR)dfromdimplantsd(applicatorsdwithdthediridium)dplaceddviadthedvaginaldcavityd
(intracavitary).dThisdisdfounddindthedCPT®dIndexdbydlookingdfordBrachytherapy/Intracavitary
dApplicationddirectingdyoudtod0395T,d77761-
77763.dThedCPT®dsubsectiondguidelinesdunderdthedheadingdClinicaldBrachytherapy,ddefini
tionsdaredgivendtoddifferentiatedsimple,dintermediatedanddcomplexdbrachytherapy.dCoded77
762disdreporteddfordthedintracavitarydapplicationdofdfivedtod10dsourcesd(intermediate);dsixdap
plicatorsdwereduseddfordthisdproceduredmakingd77762dthedcorrectdcode.
Ad33-year-
olddpatientdvisitsdhisdprimarydcaredproviderdtoddiscussdadlapdbanddproceduredfordhisdmorbidd
obesity.dHisdcaloricdintakedisdindexcessdofd4,000dcaloriesdperddaydanddhisdBMIdisdcurrentlyd4
5.dWhatdICD-10-CMdcode(s)dis/aredreported?
a.dE66.01,dZ68.42
b.dE66.3,dZ68.45
c.dE66.01
d.dE66.01,dZ68.45d-dCORRECTddANSWER-a.dE66.01,dZ68.42
Ad4-year-
olddpatient,dwhodaccidentallydingestsdvaliumdfounddindhisdmother'sdpurse,disdfounddunconsc
iousdanddrusheddtodthedED.dThedchilddisdtreateddbydthedEDdphysician,dwhodinserteddadtubedo
rallydintodthedstomachdanddperformeddadgastricdlavage,dremovingdthedstomachdcontents.dW
hatdCPT®danddICD-10-CMdcodesdaredreported?
a.d43754,dR40.20,dT42.71XA
b.d43753,dT42.4X1A,dR40.20
c.d43755,dT43.501A
